PMID- 25538582 OWN - NLM STAT- PubMed-not-MEDLINE DCOM- 20141224 LR - 20220310 IS - 1662-5153 (Print) IS - 1662-5153 (Electronic) IS - 1662-5153 (Linking) VI - 8 DP - 2014 TI - Relationships between brain-derived neurotrophic factor, clinical symptoms, and decision-making in chronic schizophrenia: data from the Iowa Gambling Task. PG - 417 LID - 10.3389/fnbeh.2014.00417 [doi] LID - 417 AB - The levels of brain-derived neurotrophic factor (BDNF) are significantly decreased in patients with schizophrenia and correlate with impairments in cognitive function. However, no study has investigated the relationship between the serum BDNF levels and decision-making. We compared patients with schizophrenia to healthy controls with respect to their decision-making ability and serum BDNF levels. Eighty-six chronic schizophrenia patients and 51 healthy controls participated in this study. We controlled for gender, age, and estimated intelligence quotient (IQ), and we investigated the differences in decision-making performance on the Iowa Gambling Task (IGT) between the schizophrenia patient and control groups. We also compared the IGT scores, the serum BDNF levels, and the clinical symptoms between the groups. The IGT scores of the schizophrenia patients were lower than those of the controls. A negative correlation was detected between the mean net scores on the trials in the final two blocks and the serum BDNF levels (p < 0.05). Multiple regression analysis revealed that depressive symptoms and the serum BDNF levels were significantly associated with the mean net scores on the trials in the final two blocks. Based on these results, impaired sensitivity to both reward and punishment is associated with depressive symptoms and reduced serum BDNF levels in chronic schizophrenia patients and may be related to their poor performance on the IGT. FAU - Hori, Hikaru AU - Hori H AD - Department of Psychiatry, University of Occupational and Environmental Health Kitakyushu, Japan. FAU - Yoshimura, Reiji AU - Yoshimura R AD - Department of Psychiatry, University of Occupational and Environmental Health Kitakyushu, Japan. FAU - Katsuki, Asuka AU - Katsuki A AD - Department of Psychiatry, University of Occupational and Environmental Health Kitakyushu, Japan. FAU - Atake, Kiyokazu AU - Atake K AD - Department of Psychiatry, University of Occupational and Environmental Health Kitakyushu, Japan. FAU - Nakamura, Jun AU - Nakamura J AD - Department of Psychiatry, University of Occupational and Environmental Health Kitakyushu, Japan. LA - eng PT - Journal Article DEP - 20141204 PL - Switzerland TA - Front Behav Neurosci JT - Frontiers in behavioral neuroscience JID - 101477952 PMC - PMC4255599 OTO - NOTNLM OT - brain-derived neurotrophic factor OT - cognition OT - decision-making OT - depression OT - gambling task OT - schizophrenia EDAT- 2014/12/30 06:00 MHDA- 2014/12/30 06:01 PMCR- 2014/01/01 CRDT- 2014/12/25 06:00 PHST- 2014/09/01 00:00 [received] PHST- 2014/11/14 00:00 [accepted] PHST- 2014/12/25 06:00 [entrez] PHST- 2014/12/30 06:00 [pubmed] PHST- 2014/12/30 06:01 [medline] PHST- 2014/01/01 00:00 [pmc-release] AID - 10.3389/fnbeh.2014.00417 [doi] PST - epublish SO - Front Behav Neurosci. 2014 Dec 4;8:417. doi: 10.3389/fnbeh.2014.00417. eCollection 2014.